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General NPI Number Information
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NPI Number | 1053170472
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Entity Type | Individual
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Provider Name | JULISA LEDA VAZANSKY
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Gender | Female
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 920B DELANEY AVE
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City | ORLANDO
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State | FL
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Zip | 32806-1246
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Country | US
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Telephone | 321-247-5165
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Fax |
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Provider Business Mailing Address
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Address Line | 965 ROCK HARBOR AVE
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City | ORLANDO
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State | FL
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Zip | 32828-6825
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Country | US
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Telephone | 407-720-4101
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-24-342249
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 7799
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State | FL
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